ĐỀ CHUẨN MINH HỌA KỲ THI TỐT NGHIỆP TRUNG HỌC PHỔ THÔNG NĂM 2025

(Đề thi có 04 trang) Bài thi: NGOẠI NGỮ; Môn thi: TIẾNG ANH
Thời gian làm bài: 50 phút không kể thời gian phát đề
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E11-Unit 1: A LONG AND HEALTHY LIFE-TEST 1
Mark the letter A, B, C, or D on your answer sheet to indicate the word whose underlined part differs from that
of the other three in pronunciation in each of the following questions.
Question 1: A. treat B. great C. meat D. lead
Question 2: A. regular B. general C. vegetable D. energy
Mark the letter A, B, C, or D on your answer sheet to indicate the word that differs from the other three in the
position of stress in each of the following questions.
Question 3: A. balanced B. active C. healthy D. mature
Question 4: A. important B. wonderful C. suitable D. serious
Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following
questions.
Question 5: The doctor will ________ the patient thoroughly to determine the cause of the symptoms.
A. spread B. examine C. suffer D. cure
Question 6: Advances in medical science have significantly increased the average life ________ in many
countries.
A. expectancy B. expectation C. expect D. expectant
Question 7: To achieve a long and healthy life, it's important to _________attention to your diet and nutrition.
A. take B. put C. pay D. make
Question 8: Electronic devices such as smartphones and computers ________ blue light, which can disrupt your
sleep.
A. give off B. take in C. use up D. get over
Question 9: In recent years, he __________ smoking to improve his lung health.
A. stopped B. stops C. has stopped D. had stopped
Read the following advertisement/announcement and mark the letter A, B, C, or D on your answer sheet to
indicate the correct option that best fits each of the numbered blanks from 10 to 12.
ACHIEVE YOUR HEALTH GOALS TODAY!
Are you looking to (10)________ your health and well-being? Join our Health Improvement Program at
Wellness Hub! Our program offers a wide range of activities and workshops designed to help you achieve a
healthier lifestyle:
• Personalized fitness plans
• Nutritional guidance
• Stress management workshops
• Access (11)_______expert health coaches
Whether you're a beginner or a (12)__________ enthusiast, our program is tailored to meet your needs.
For more information, visit our website at www.wellnesshub.com or call us at 123-456-7890.
Start your journey to better health with us!
Question 10: A. explain B. avoid C. begin D. boost
Question 11: A. in B. at C. from D. to
Question 12: A. fitness B. architecture C. creativity D. technology
ANNOUNCEMENT ABOUT THE SCHOOL RACE COMPETITION
We are excited to announce the upcoming School Race Competition for the 2024 school year. (13)______
event aims to promote physical fitness and a spirit of healthy competition among our students.
Event Date:
• Saturday, August 20, 2024
• Time: 7:00 AM - 12:00 PM
Venue:
• ABC Middle School Track Field
Participation Requirements:
• Students from grades 6 to 9
• Register at the Physical Education Office before August 10, 2024
We hope that the School Race Competition will provide an enjoyable and challenging experience, encouraging
students (14)_________ their physical abilities and fostering a sense of sportsmanship. We (15)_________ the
enthusiastic participation of our students and the support from parents and teachers.
For more detailed information, please contact Mr. Nguyen Van A - Physical Education Teacher at 123-456-
7890.
Question 13: A. A B. An C. The D. Ø (no article)
Question 14: A. develop B. to develop C. developing D. to developing
Question 15: A. get on with B. look forward to C. keep up with D. face up to
Mark the letter A, B, C, or D on your answer sheet to indicate the correct arrangement of the sentences to
make a meaningful paragraph/letter in each of the following questions.
Question 16:
a. Maintaining a balanced diet rich in fruits, vegetables, and whole grains ensures the body gets essential
nutrients.
b. Additionally, regular physical activity helps maintain a healthy weight and reduces the risk of chronic diseases.
c. Firstly, getting enough sleep is crucial for overall health and well-being.
d. Finally, managing stress through techniques like meditation and mindfulness promotes mental and emotional
health.
e. Living a long and healthy life requires a combination of good habits and lifestyle choices.
A. e - c - a - b - d B. a - c - d - e -b C. c - e – b – a – d D. b - e - b - a - d
Question 17:
a. Furthermore, social connections and supportive relationships contribute significantly to emotional well-being.
b. Dear Friend, I hope this message finds you in good health! I've been reflecting on the importance of living a
long and healthy life.
c. Additionally, regular health check-ups can help detect potential issues early, leading to better outcomes.
d. Firstly, a balanced diet and regular exercise are the foundations of a healthy lifestyle.
e. Finally, finding joy and purpose in life is essential for long-term health and happiness.
f. Take care and stay healthy.
A. a – b - f – c – e - d B. b – d – a – c – e – f C. d – b - a - e - c – f D. f - d – a – c - b - e
Mark the letter A, B, C, or D on your answer sheet to indicate the correct option that best fits each of the
numbered blanks from 18 to 23.
Living a long and healthy life involves making consistent, positive lifestyle choices. Firstly, maintaining a
balanced diet is (18) ________. Consuming a variety of fruits, vegetables, whole grains, and lean proteins helps to
support overall health and prevent chronic diseases. Secondly, regular physical activity is essential. Engaging in
exercises such as walking, swimming, or cycling can improve cardiovascular health, (19)_______, and enhance
flexibility.
Moreover, adequate sleep is vital for the body’s restorative processes. (20)________ to ensure optimal
functioning and well-being. Managing stress through mindfulness techniques such as meditation, yoga, or deep-
breathing exercises can also contribute to a healthy life by reducing anxiety and promoting emotional balance.
Additionally, maintaining social connections and engaging in community activities can enhance mental health and
provide a sense of belonging and purpose.
Preventive healthcare, (21)________, is another important aspect. Early detection of potential health issues can
lead to more effective treatments and better outcomes. Finally, avoiding harmful habits such as smoking and
excessive alcohol consumption is crucial for long-term health.
(22)__________, a combination of a balanced diet, regular physical activity, sufficient sleep, stress management,
social engagement, preventive healthcare, and avoiding harmful (23)________ a long and healthy life.
Reference: https://dpuhospital.com
Question 18: A. providing for the crucial body with necessary nutrients
B. with necessary nutrients to provide for the crucial body
C. crucial for providing the body with necessary nutrients
D. necessary to provide the body for necessary nutrients
Question 19: A. strengthen muscles B. strong muscles C. strongly muscles D. muscles strength
Question 20: A. Adults should aim for 7-9 hours sleep every night
B. Adults should aim for 7-9 hours of sleep per night
C. Adults should aim 7-9 hours sleep per night
D. Adults should aim sleep of 7-9 hours every night
Question 21: A. to include regular check-ups and screenings B. with including regular check-ups and screenings
C. include regular check-ups and screenings D. including regular check-ups and screenings
Question 22: A. In summary B. Instead of C. In contrast D. Even though
Question 23: A. contributes to living B. contributes to live
 C. contributes living D. contributes for living
Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
option that best fits each of the numbered blanks from 24 to 28.
The Importance of Sleep
For about one third of your life, your eyes will be closed. You will not move very much. You will breathe very
slowly. You will be quiet. In other words, for about one third of your life, you will be asleep.
Why do we sleep so much? What is the purpose? Scientists do not have a complete answer. They believe that
sleep (24)________ your energy and helps your brain work better. If you do not sleep enough, you cannot
(25)_________on your work, and you feel tired all day. Without enough sleep, you are also more likely to get
sick.
Sleep is important for normal development. This means (26)________children need a lot of sleep in order to
grow up strong and healthy. During the first two weeks of life, babies sleep for about 16 hours every day. This
changes as they grow and need less sleep. Teenagers still need about 9 hours of sleep every night, but
(27)________ adults need less – only about 8 hours. After about the age of 70, they only sleep for about 6 hours
every night.
All animals need sleep, (28)_________there is great variation in how much they sleep. For example, some big
snakes sleep for more than 18 hours a day. Sheep only sleep for about 4 hours, and giraffes sleep less than 2 hours
a day! Pigs sleep for 8 hours a day just like adult humans.
Adapted from Making Connections
Question 24: A. spreads B. suffers C. restores D. releases
Question 25: A. treat B. relax C. vacinate D. concentrate
Question 26: A. which B. that C. whom D. whose
Question 27: A. most B. each C. some D. much
Question 28: A. but B. so C. because D. although

Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
answer to each of the questions from 29 to 33.
Our body clock, also known as the circadian rhythm, is an internal system that regulates our sleep-wake cycle,
influencing various physiological processes. This biological clock is primarily influenced by external cues such as
light and temperature, aligning our body’s functions with the day-night cycle. For instance, exposure to natural
light in the morning signals the body to wake up and be alert, while the absence of light in the evening triggers the
production of melatonin, a hormone that promotes sleep.
Maintaining a consistent circadian rhythm is crucial for overall health. Disruptions to it, such as those caused
by shift work, travel across time zones, or irregular sleep patterns, can lead to various health issues. These
disruptions can affect sleep quality, mood, and cognitive functions, and over time, may contribute to more serious
conditions such as obesity, diabetes, and cardiovascular diseases. Therefore, it is essential to follow a regular
sleep schedule, ensure exposure to natural light during the day, and minimize light exposure at night to keep the
body clock in sync.
Moreover, the circadian rhythm also regulates other bodily functions, including hormone release, eating habits,
and digestion. Studies have shown that our body clock influences the timing of meals, and eating at irregular
times can disrupt metabolic processes. For optimal health, it is recommended to eat meals at consistent times each
day and avoid late-night eating. By understanding and respecting it, we can improve our sleep quality, boost our
overall health, and enhance our daily performance.
Reference: https://www.nigms.nih.gov
Question 29: What would be the best title for the passage?
A. The Benefits of Melatonin B. The Science of Sleeping Pills
C. Understanding of the Body Clock D. The Impact of Technology on Sleep
Question 30: What does the word “regulates” in the passage mostly mean?
A. disrupts B. controls C. ignores D. influences
Question 31: What does the word “it” in paragraph 2 refer to?
A. work B. melatonin C. disruption D. circadian rhythm
Question 32: Which of the following is NOT mentioned as a factor affecting global health?
A. income B. education C. pollution levels D. lifestyle
Question 33: According to the passage, what is recommended for optimal health regarding meal times?
A. Eating meals at the same times every day B. Eating whenever you feel hungry
C. Skipping breakfast regularly D. Eating large meals late at night
Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
answer to each of the questions from 34 to 40.
Individuals make decisions about their physical and mental health because serious illnesses can significantly
impact them and their families. Just as family health is tied to individual members, a nation's health is connected
to its people. A country's economic strength relies on a healthy workforce. Hence, governments monitor the
health of their populations, examining connections between health and lifestyle. The World Health Organization
(WHO) uses this data to answer: How healthy is the world?
The WHO assesses large populations' health using life expectancy and mortality rates. Life expectancy
measures the average age people are expected to live. Since the 20th century, life expectancy has significantly
increased worldwide. For example, the average global citizen now lives 27 years longer than a century ago. Japan
shows even more dramatic increases, with people living 38 years longer on average than 100 years ago. These
improvements indicate that the world is healthier now than in the past century.
Mortality rates, the second indicator, measure deaths in specific regions, focusing on premature deaths. WHO
emphasizes child mortality, which makes up over 20 percent of all premature deaths. Though global child
mortality has decreased by 30 percent since 1990, significant disparities exist between nations and within
countries. Mortality rates fall faster in wealthier nations and among higher-income individuals, highlighting
ongoing health inequalities.
Governments aim to reduce mortality rates by targeting premature death causes. While infectious diseases still
cause millions of deaths, particularly in developing countries, there has been progress. HIV/AIDS, once
stigmatized and ignored, has seen a 16 percent decline in new infections globally between 2000 and 2008 due to
prevention efforts and new drugs.
Lifestyle choices significantly affect life expectancy and mortality rates. Obesity and smoking are major health
risks, with obesity reducing life expectancy by up to 20 years and smoking causing millions of deaths annually.
The CDC estimates a billion smokers worldwide, with 80 percent in developing countries. Lifestyle choices thus
pose health risks for individuals and nations alike.
By examining life expectancy, mortality rates, and lifestyle, we get a mixed view of global health. While
people live longer due to improved life expectancy, infectious diseases and poor lifestyle choices still cause
millions of deaths. Improving global health requires continued efforts in health education, job provision, and
income increase, highlighting the link between education, income, and health. Better-educated individuals make
healthier lifestyle choices, benefit from improved job prospects, and pass these advantages to their children,
ultimately enhancing global health.
Reference: https://www.samhsa.gov/
Question 34: What would be the best title for the passage?
A. The Importance of Health Education B. The Role of WHO in Global Health
C. Assessing Global Health: Indicators and Challenges D. Lifestyle Choices and Their Impact on Health
Question 35: The word “assesses” in paragraph 2 is closest in meaning to ______.
A. ignores B. evaluates C. dismisses D. overlooks
Question 36: What does the word “its” in paragraph 1 refer to?
A. nation B. health C. decision D. strength
Question 37: The word “premature” in paragraph 3 is opposite in meaning to ______.
A. timely B. early C. delayed D. expected
Question 38: According to the passage, what is a significant achievement in reducing global mortality rates?
A. The complete eradication of HIV/AIDS B. A decrease in new HIV/AIDS infections
C. A 50 percent reduction in child mortality D. The eradication of tobacco-related diseases
Question 39: Which of the following is NOT true according to the passage?
A. Obesity can reduce life expectancy by up to 20 years.
B. The CDC estimates there are a billion smokers worldwide.
C. Infectious diseases have been eliminated in developing countries.
D. Lifestyle choices pose health risks for individuals and nations.
Question 40: It can be inferred from the passage that ______.
A. Health education has no impact on life expectancy. B. Governments play a role in reducing mortality rates.
C. All countries have equal health outcomes. D. Life expectancy is not linked to economic factors.
TEST 1
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
21. 22. 23. 24. 25. 26. 27. 28. 29. 30.
31. 32. 33. 34. 35. 36. 37. 38. 39. 40.
 ĐỀ CHUẨN MINH HỌA KỲ THI TỐT NGHIỆP TRUNG HỌC PHỔ THÔNG NĂM 2025
(Đề thi có 04 trang) Bài thi: NGOẠI NGỮ; Môn thi: TIẾNG ANH
Thời gian làm bài: 50 phút không kể thời gian phát đề
--------------------------
E11-Unit 1: A LONG AND HEALTHY LIFE-TEST 2
Mark the letter A, B, C, or D on your answer sheet to indicate the word whose underlined part differs from that
of the other three in pronunciation in each of the following questions.
Question 1: A. virus B. habit C. fitness D. illness
Question 2: A. germ B. grow C. gone D. gap
Mark the letter A, B, C, or D on your answer sheet to indicate the word that differs from the other three in the
position of stress in each of the following questions.
Question 3: A. disease B. homework C. muscle D. treatment
Question 4: A. recipe B. energy C. poisoning D. infection
Mark the letter A, B, C, or D on your answer sheet to indicate the correct answer to each of the following
questions.
Question 5: Many people find that they need to ______ sugary drinks and sodas to better manage their weight.
A. turn down B. get over C. work out D. give up
Question 6: People who ______ from high levels of stress are more likely to experience mental health issues
A. prevent B. suffer C. expect D. deny
Question 7: Drinking water ________throughout the day is crucial for supporting bodily functions.
A. positively B. happily C. properly D. especially
Question 8: A balanced diet rich in essential _______ is key to maintaining a long and healthy life.
A. labels B. tools C. nutrients D. organisms
Question 9: She ________ a variety of fruits and vegetables in her diet for five years.
A. includes B. has included C. will include D. had included
Read the following advertisement/announcement and mark the letter A, B, C, or D on your answer sheet to
indicate the correct option that best fits each of the numbered blanks from 10 to 12.
Find Your Inner Peace: Join Our Meditation Course Today!
Are you looking to reduce stress, improve focus, and enhance your overall well-being? Our expert-led
meditation course is designed just for you! Over the course of five weeks, you will:
• Learn effective meditation techniques to calm your mind and body.
• Develop a (10) ________ practice that fits into your daily routine.
• Experience the benefits of reduced anxiety and improved mental clarity.
Join us now and take the first step towards a (11)_______ and peaceful life. Sign up today and start your
journey to inner tranquility!
Special Offer: Enroll now and get a 10% discount on your first session!
Visit our website or call us at 0123456789 to (12)_________your spot!
Find your calm, one breath at a time.

Question 10: A. negative B. rare C. regular D. anual

Question 11: A. busy B. hard-working C. frustrated D. balanced
Question 12: A. reserve B. cancel C. secure D. postpone
Announcement: COVID-19 Vaccination for Students
Attention Students and Parents,
We are pleased to (13)_______ that our school will be hosting a COVID-19 vaccination clinic to help protect
our community. This initiative is aimed at ensuring the safety and health of our students as we navigate through
these challenging times. The vaccination clinic will be held (14)_______ March 15th from 9:00 AM to 3:00
PM at the school gymnasium.
To ensure a smooth process, we ask everyone to wear a mask, maintain social distancing, and arrive at their
scheduled time to avoid crowding. It is also (15)________ to stay hydrated and have a light meal before
coming.
Question 13: A. announce B. control C. suggest D. focus
Question 14: A. in B. on C. of D. with
Question 15: A. advise B. advice C. advisable D. advisedly
Mark the letter A, B, C, or D on your answer sheet to indicate the correct arrangement of the sentences to
make a meaningful paragraph/letter in each of the following questions.
Question 16:
a. In addition, avoiding smoking and limiting alcohol consumption are crucial for lung and liver health.
b. Overall, adopting these habits can lead to a significantly improved quality of life.
c. Drinking plenty of water is also vital for maintaining proper hydration and bodily functions.
d. Furthermore, regular medical check-ups can catch potential health issues early on.
e. Living a healthy lifestyle involves multiple factors that contribute to physical and mental well-being.
A. e - c - a - d – b B. c - e - a - d - b
C. e - d - c - a – b D. a - e - c - d – b
Question 17:
a. I’ve come to realize how important it is to cherish and maintain our mental health.
b. Engaging in regular exercise not only benefits the body but also boosts mental well-being.
c. Moreover, surrounding oneself with positive relationships can have a profound impact on overall happiness.
d. Dear Alex, I hope you’re doing well! Lately, I’ve been thinking a lot about our conversations on mental health.
e. Lastly, taking time for hobbies and activities we enjoy can greatly enhance our quality of life.
f. I look forward to hearing your thoughts on this.
A. b - d - a - e - c – f B. d - a - c - e - b - f
C. d - a - b - c - e – f D. a - d - c - e - b - f
Mark the letter A, B, C, or D on your answer sheet to indicate the correct option that best fits each of the
numbered blanks from 18 to 23.
Some people have trouble falling asleep, and one significant reason for this issue may be related to the food
they consume at night. The types of foods eaten in the evening can have a substantial impact on one's ability to
fall asleep. (18)_______ in the body called serotonin. Serotonin is a neurotransmitter that plays a key role in
regulating sleep and mood. (19)_______, consuming foods like rice, pasta, and bread at dinner can be beneficial
for those who struggle with insomnia, as these foods promote the production of serotonin, (20)________.
Conversely, there are foods that have the opposite effect and can hinder your ability to fall asleep. Foods such
as ham, cheese, and chocolate can interfere with the production of serotonin and instead promote wakefulness.
These foods contain high levels of tyramine, an amino acid that increases the release of a stimulant known as
norepinephrine. Norepinephrine can heighten brain activity and keep you alert, (21) _______ and fall asleep.
(22)________ can disrupt your sleep cycle and contribute to sleepless nights.
To improve sleep quality, we should be mindful of your evening diet. Opting for meals rich in carbohydrates
like rice, pasta, and whole-grain bread can help facilitate better sleep, (23)_______ such as ham, cheese, and
chocolate can prevent nighttime restlessness. By making these dietary adjustments, individuals can create a more
conducive environment for a restful night's sleep.
Reference: https://www.nytimes.com/
Question 18: A. Certain foods help promote sleep although they lead to the production of a chemical
B. Certain foods help promote sleep because they lead to the production of a chemical
C. Certain foods help promote sleep although they lead to the productivity of a chemical
D. Certain foods help promote sleep because they lead to the productivity of a chemical
Question 19: A. Such as B. Like C. In short D. For instance
Question 20: A. which subsequently makes you feel sleepy and relaxed.
B. that subsequently makes you feel sleepy and relaxed.
C. which subsequently makes you feel sleep and relaxed.
D. which subsequent makes you feel sleepy and relaxed.
Question 21: A. making it difficult wind down B. to making it difficult to wind down
C. making it difficult to wind down D. making it difficulty to wind down
Question 22: A. However, consuming these foods in the evening
B. Moreover, consuming these foods in the evening
C. Consume these foods in the evening
D. Therefore, consuming these foods in the evening
Question 23: A. while avoiding foods that contain stimulants B. while avoiding foods contain stimulants
C. after avoiding foods which contain stimulants D. before avoiding foods containing stimulants
Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
option that best fits each of the numbered blanks from 24 to 28.
A virus is a tiny infectious agent (24)_______ can only replicate inside the living cells of an organism. Viruses
consist of genetic material, either DNA or RNA, surrounded by a protective protein coat called a capsid. Some
viruses also have an outer lipid envelope.
 Viruses are very diverse and can infect (25)_______ forms of life, including animals, plants, fungi, and
bacteria. When a virus infects a host, it attaches to a specific cell, injects its genetic material, and takes over the
cell's machinery to produce new virus particles. These new viruses then burst out of the host cell, often destroying
it, and go on to infect more cells.
While some viruses cause mild or no symptoms, others can (26)_______to serious diseases such as influenza,
HIV/AIDS, COVID-19, and Ebola. Vaccines, which are a key tool in preventing viral infections, and antiviral
medications can help manage some viral diseases. (27)_______ their tiny size and simple structure, viruses have a
profound impact on the health and disease of all living (28)______.
Reference: https://microbiologysociety.org/
Question 24: A. that B. whose C. when D. whom
Question 25: A. each B. much C. many D. other
Question 26: A. take B. lead C. pay D. put
Question 27: A. Because B. Despite C. As D. Though
Question 28: A. structures B. organisms C. forms D. samples
Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
answer to each of the questions from 29 to 33.
Monaco, with an average life expectancy of nearly 86 years, attributes its longevity to a diet rich in seafood,
fruits, and vegetables, inspired by French and Italian cuisines. Known as the "playground of billionaires," Monaco
is famous for its luxurious and affluent lifestyle. Data reveals that this second smallest country in the world, with
a population of under 40,000, boasts an average life expectancy of 85.9 years. Following Monaco in the list of
countries with the highest life expectancy are Japan (84.8), Australia (84.5), Switzerland (84), Malta (83.8), and
South Korea (83.7). In contrast, the ten countries with the lowest life expectancy, all under 60 years, are in Africa,
including Chad, Nigeria, Lesotho, the Central African Republic, South Sudan, Somalia, Eswatini, Ivory Coast,
Guinea, and Mali.
These statistics from Our World in Data are based on updated figures from the United Nations Population
Fund. Life expectancy has significantly increased worldwide over the past few decades, thanks to medical
advancements such as vaccines, antibiotics, and improved hygiene, which have eradicated many causes of early
death. In 1950, the average life expectancy was 46.5 years, but this figure rose to 71 by 2021.
Health disparities between countries have also improved. In 1950, Mali in West Africa had an average life
expectancy of 28.2 years, while Norway's was 71.2 years—a gap of 43 years. By 2021, this difference had
decreased to 33.4 years. Technology, better food sources, improved nutritional education, and greater awareness
of health risks have collectively extended human life spans. Additionally, learning from Monaco and Japan's
experiences could help us live longer.
One significant factor contributing to Monaco's high life expectancy is its Mediterranean diet. Located near the
sea, seafood is a crucial component of the Monegasque diet, along with abundant fruits and vegetables, and dishes
influenced by French and Italian cuisine. Besides a healthy diet, Monaco's high-quality, state-supported healthcare
system and the residents' substantial income levels have also contributed to their increased longevity.
Reference: https://altoo.io
Question 29: What would be the best title for the passage?
A. The Mediterranean Diet of Monaco B. Life Expectancy Around the World
C. Factors Contributing to Longevity D. The Impact of Wealth on Health
Question 30: What does the word "attributes" in the passage mostly mean?
A. considers B. owes C. ignores D. controls
Question 31: What does the word "its" in paragraph 1 refer to?
A. Monaco B. life expectancy C. longevity D. playground
Question 32: Which of the following is NOT mentioned as a factor contributing to increased life expectancy
worldwide?
A. vaccines B. antibiotics
C. improved hygiene D. higher education levels
Question 33: According to the passage, what is a significant factor contributing to Monaco's high life
expectancy?
A. Its Mediterranean diet B. Its small population size
C. Its advanced technology D. Its low pollution levels
Read the following passage and mark the letter A, B, C, or D on your answer sheet to indicate the correct
answer to each of the questions from 34 to 40.
Life expectancy refers to the average number of years a person can expect to live based on demographic
factors, primarily influenced by geography, genetics, lifestyle, and access to healthcare. Over the past century, life
expectancy has seen significant increases globally due to advancements in medical technology, improvements in
public health, and higher living standards. In the early 1900s, the average life expectancy was around 50 years,
but today, it has risen to over 70 years worldwide, with some countries boasting averages of over 80 years.
Several factors contribute to variations in life expectancy among different populations. Healthcare quality and
accessibility are paramount; countries with advanced healthcare systems and universal coverage tend to have
higher life expectancies. For example, Japan and Switzerland are known for their efficient healthcare systems and
correspondingly high life expectancies. In contrast, countries with limited healthcare resources often have lower
life expectancies due to higher rates of infant mortality, infectious diseases, and chronic health conditions.
Lifestyle choices also play a crucial role in determining life expectancy. Diet, exercise, smoking, and alcohol
consumption are significant factors. Populations that consume diets rich in fruits, vegetables, lean proteins, and
whole grains, such as the Mediterranean diet, often have higher life expectancies. Regular physical activity and
the avoidance of smoking and excessive alcohol consumption further contribute to longer, healthier lives.
Social and economic factors are equally important. Education, income levels, and social support networks
influence life expectancy. Higher education levels are associated with better health literacy and healthier lifestyle
choices. Economic stability allows for better access to nutritious food, healthcare, and safe living conditions.
Additionally, strong social support networks, including family and community ties, have been shown to reduce
stress and contribute to overall well-being, thereby increasing life expectancy.
Genetics also play a role, albeit a less controllable one. Family history of certain diseases can predispose
individuals to shorter lifespans, though modern medicine has made significant strides in managing hereditary
conditions.
Environmental factors, such as clean air and water, also impact life expectancy. Regions with high levels of
pollution and limited access to clean water tend to have lower life expectancies due to the increased risk of
respiratory and waterborne diseases.
Reference: https://ourworldindata.org/
Question 34: What would be the best title for the passage?
A. The Role of Genetics in Life Expectancy B. Factors Influencing Life Expectancy
C. Advancements in Medical Technology D. The Importance of Public Health
Question 35: The word “paramount” in paragraph 2 is opposite in meaning to ______.
A. secondary B. insignificant C. crucial D. irrelevant
Question 36: What does the word “it” in paragraph 1 refer to?
A. life expectancy B. medical technology C. public health D. living standards
Question 37: The word “universal” in paragraph 2 is closest in meaning to ______.
A. partial B. worldwide C. selective D. comprehensive
Question 38: According to the passage, why do countries with advanced healthcare systems tend to have higher
life expectancies?
A. They have access to more nutritious and balanced food options.
B. They experience lower rates of smoking among the population.
C. They engage in higher rates of regular physical activity and exercise.
D. They have superior healthcare services and easier access to medical care.
Question 39: Which of the following is NOT true according to the passage?
A. Life expectancy has increased significantly over the past century.
B. Countries with advanced healthcare systems tend to have higher life expectancies.
C. Obesity has no impact on life expectancy.
D. Social and economic factors influence life expectancy.
Question 40: It can be inferred from the passage that ______.
A. Life expectancy is solely determined by genetics
B. Economic stability does not affect life expectancy
C. Public health advancements have increased life expectancy
D. Social support networks have no impact on life expectancy

TEST 2
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
21. 22. 23. 24. 25. 26. 27. 28. 29. 30.
31. 32. 33. 34. 35. 36. 37. 38. 39. 40.